摘要
目的探讨妊娠并异位蜕膜的临床特点及误诊原因。方法对3例妊娠合并异位蜕膜的临床资料进行回顾性分析。结果 3例均因晚期妊娠并不规则腹痛入院,急诊行剖宫产术,术中均顺利娩出活婴(1女婴,2男婴),术中1例见子宫浆膜面弥漫分布粟粒状黄豆大小结节,1例见阑尾充血、水肿、粘连、增粗,1例见子宫下段右前壁有一暗紫红色结节,曾误诊为肿瘤、阑尾炎、腹腔内出血,行组织病理检查均确诊为异位蜕膜,痊愈出院。结论临床应提高对妊娠合并异位蜕膜的认识,及时行组织病理检查,减少误诊误治。
Objective To investigate the clinical characteristics and misdiagnosis of pregnancy-associated ectopic decidua. Methods The retrospective analysis was performed on clinical data of 3 cases of pregnancy-associated ectopic decidua. Results All cases were admitted to our hospital because of irregular abdominal pain in late pregnancy. Caesarean section was performed in the Emergency Department. The live infants（1 female and 2 males）were delivered successfully during the operation. Miliary nodules with the size of soya bean was diffusely distributed on the serosa of uterus in 1 case,and appendiceal congestion,edema,adhesion and enlargement were found in 1 case. A dark red-purple nodule was found on the right anterior wall of the lower uterus of 1 case,who had been misdiagnosed as tumor,appendicitis,and intraperitoneal hemorrhage. Histopathological examination confirmed the diagnosis of ectopic decidua. They were discharged from hospital after recovery. Conclusion The understanding of pregnancy-associated ectopic decidua should be improved,and timely histopathological examination should be performed to reduce misdiagnosis and mistreatment.
作者
夏凌
连俊红
张甜甜
卞晓辉
XIA Ling;LIAN Jun-hong;ZHANG Tian-tian;BIAN Xiao-hui(Department of Obstetrics and Gynecology,Wuhan General Hospital of PLA,Wuhan,Hubei 430076,China;The First Department,West Hospital of Shijiazhuang City Maternity Hospital,Shijiazhuang,Hebei 050000,China)
出处
《临床误诊误治》
2018年第9期1-3,共3页
Clinical Misdiagnosis & Mistherapy
关键词
剖宫产
妊娠
异位蜕膜
Cesarean
Pregnancy
Ectopic decidual
